Medical Health Unit- Clinical Nurse Consultant - 15410

Description and Requirements
Training - 8 - 10 weeks, M-F virtual (8 - 4pm) EST
Shift: 8 hour day + 1/2 hour lunch. Start time flexible from 7 - 9am EST.
Start Date: 03/2/2026
Key Responsibilities:

• Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex cases applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.
• Conducts complex research, review and analysis of medical records, treatment plans and claim information.
• Provides recommendations regarding claimants' current potential functional abilities and develops goal-focused return-to-work plan.
• Assess training needs and creates, authors, and presents medical training to claim and business partner associates.
• Engages claimants, healthcare providers, employers, and customers to ensure strict adherence in determining functional abilities.
• Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return to work potential.
• Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality.
• Performs other related duties as assigned or required

Essential Business Experience and Technical Skills:
Required

• Moderate knowledge of computer systems.
• Strong written/verbal communication.
• Current RN licensure
• Associate's degree, or BSN
• 4+ years of experience as an RN

Preferred

• BSN
• 7+ years Disability claims and/or clinical experience.
• Disability claims experience
• Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).
• Possess strong knowledge of medical conditions, symptoms, and terminology.

The expected salary range for this position is $72,000 - $80,169. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
If you need an accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
$72,000 - $80,169